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Nebraska rates for HCPCS L2265

Addition to lower extremity, long tongue stirrup

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $85.11 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $85.11 / $776.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $104.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $131.83 / $131.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $107.15 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $177.83 / $257.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $154.88 / $724.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $67.61 / $134.90
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $186.21 / $338.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $151.36 / $151.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $257.04 / $338.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $79.43 / $154.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $67.61 / $102.33